The first description of simultaneous pelvic and abdominal soft-tissue reconstruction with a giant lower limb fillet flap after hip exarticulation and open abdomen is presented. The unfortunate circumstances of a 67-year-old female patient are described leading to soft-tissue necrosis over a periprosthetic femur fracture and open abdomen after emergency implantation of an aortic bifemoral Y-prosthesis because of thrombotic obliteration of the aortic bifurcation. After removal of the hip prosthesis, the neurovascular pedicled myocutaneous fillet flap of the entire left leg was raised and folded proximally at the level of the exarticulated joint of the hip and set into the pelvic and abdominal defect. A giant pedicled neurovascular myocutaneous fillet flap raised over the entire lower extremity is a safe, effective, durable, and sensation-preserving treatment to reconstruct combined pelvic and abdominal soft-tissue defects.
From the *Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland; †Department of Orthopaedics and Trauma Surgery, University Hospital Basel, Basel, Switzerland; and ‡Vascular Surgery, Department of General Surgery, University Hospital Basel, Basel, Switzerland.
Received for publication September 11, 2017; accepted November 8, 2017.
Presented at the 53rd National Congress of Swiss Plastic Surgery on September 1, 2017 in St. Moritz, Switzerland.
Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.
Rik Osinga, MD, Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Spitalstrasse 25, Basel 4031, Switzerland, E-mail: firstname.lastname@example.org
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